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Tenuate Warnings, Precautions, Pregnancy, Nursing, Abuse - Diethylpropion
WARNINGS
If tolerance develops, the recommended dose should not be exceeded in an attempt to increase the effect; rather, the drug should be discontinued. TENUATE or TENUATE DOSPAN may impair the ability of the patient to engage in potentially hazardous activities such as operating machinery or driving a motor vehicle; the patient should therefore be cautioned accordingly.
When central nervous system active agents are used, consideration must always be given to the possibility of adverse interactions with alcohol.
PRECAUTIONS
General
Caution is to be exercised in prescribing TENUATE or TENUATE DOSPAN for patients with hypertension or with symptomatic cardiovascular disease, including arrhythmias. TENUATE or TENUATE DOSPAN should not be administered to patients with severe hypertension.
Reports suggest that diethylpropion hydrochloride may increase convulsions in some epileptics. Therefore, epileptics receiving TENUATE or TENUATE DOSPAN should be carefully monitored. Titration of dose or discontinuance of TENUATE or TENUATE DOSPAN may be necessary.
The least amount feasible should be prescribed or dispensed at one time in order to minimize the possibility of overdosage.
Laboratory Test: None
Carcinogenesis, Mutagenesis, and Impairment of Fertility
No long-term animal studies have been done to evaluate diethylpropion hydrochloride for carcinogenicity. Mutagenicity studies have not been conducted. Animal reproduction studies have revealed no evidence of impairment of fertility (see Pregnancy, below).
Pregnancy
Teratogenic Effects: Pregnancy Category B. Reproduction studies have been performed in rats at doses up to 9 times the human dose and have revealed no evidence of impaired fertility or harm to the fetus due to diethylpropion hydrochloride. There are, however, no adequate and well-controlled studies in pregnant women. Because animal reproduction studies are not always predictive of human response, this drug should be used during pregnancy only if clearly needed.
Non-Teratogenic Effects: Abuse with diethylpropion hydrochloride during pregnancy may result in withdrawal symptoms in the human neonate.
Nursing Mothers
Since diethylpropion hydrochloride and/or its metabolites have been shown to be excreted in human milk, caution should be exercised when TENUATE or TENUATE DOSPAN is administered to a nursing woman.
Pediatric Use
Since safety and effectiveness in children below the age of 12 have not been established, TENUATE or TENUATE DOSPAN is not recommended for use in children under 12 years of age.
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